Game Design Project

1

Design Document for:

The Cu4ng Edge of Healthcare Games-‐Do YOU Know Your Stuff!

All Intellectual Property Copyright © 2012 by Marisa Tapia MSN, RN ACNS-‐BC

Version 1.0

Sunday April 21, 2012

Copyright ©2012 ConfidenUal M. Tapia

4/21/12


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Play with your friends and save a life!

3 Copyright ©2012

ConfidenUal M. Tapia 4/21/12

Game Name


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Design History: The development of this game evolved over Ume. IniUally the design was very basic and my iniUal design was that of a simulaUon based scenario for healthcare training. As it evolved it took on different formats as well as different elements of the game design. From incepUon to its current state the game takes the player from the point of a traumaUcally injured paUent who requires emergent care and surgical intervenUon. Through collaboraUve game playing among friends the goal is to assist in the care and management of the injured paUent. UlUmately, the paUent must recover fully and walk out of the hospital as a healthy individual-‐that is the WIN. No score to keep, no points to earn, the fun is in the process of assisUng your friends in saving a life. Version 1.0 I polled my nurse colleagues and Facebook nurse friends as to my idea. They liked the idea but though I should add the element of collaboraUon as no one specialty nursing department can single handedly take care of the paUent thus emphasizing teamwork and cohesion; therefore, limiUng the game to only the operaUng room (OR) would discourage all parUcipants. By adding the true progression from admission to discharge and all the healthcare staff the paUent comes in contact with, the element of collaboraUon is evident with each friend that plays the game. CollaboraUon and playing with friends will bring experts to the game and implement the needed adributes that assist in the recovery of the paUent. By adding the element of a traumaUc injury to the mix, they felt that “Chaos” is an overarching component. No one person can save someone, and must rely on co-‐workers and work friends to collaborate and diffuse the chaos surrounding the traumaUc Version 1.10 As the game conUnued to move forward with the help of my friends, nurses and non-‐nurses, a game name was created. The game would be called TraumaRamaPalooza. The name evolved from:

•  The Circula7ng Nurse •  Guts and Gore R Us •  The Nurse Game •  Trauma Rama Friday Night Lights •  Trauma Palooza •  The Knife and Gun Club •  Traumaramadon •  Hospitalville

Version 1.11 Currently, the game is in V. 1.11, which includes moving the paUent from injury to discharge through collaboraUve teamwork among friends-‐saving one paUent at a Ume.


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Game Overview:

Vision Statement: The TraumaRamaPalooza game is an all encompassing healthcare team working in sync to save a life. TraumaRamaPalooza is a real Ume online collaboraUve game for healthcare professionals. From admission to discharge this game provides the player the ability to invite friends to parUcipate in saving the life of an injured paUent. By ways of text message noUficaUons, email or through the launch of the game, the players are alerted to parUcipate. Upon noUficaUon they determine what needed care is to be rendered. Each player has a disUnct role that will determine the care to be provided. As the paUent moves from the ambulance to the emergency room, the paUent is triaged by the nurse and moved throughout the needed departments. Each player idenUfies their role (pharmacist, anesthesia provider, nurse, doctor, physical therapist etc) and the player provides their experUse to ensure the paUent receives the needed care to survive the injury and recover fully in order to walk out of the hospital.


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Game Overview:

FAQs: Q: How does the game work? A: By downloading a simple applicaUon, also known as an app, to your smartphone or tablet you can immediately start inviUng friends to play this new game to help you save a life. Q: Who can u7lize this game? A: Colleges and UniversiUes as well as individuals who want to play a unique and interesUng game related to their work environment in the healthcare field. Q: What makes this game unique, interes7ng and FUN? A: There is no other game like this! Your healthcare know-‐how is tested by this game and you work with your friends in saving someone’s life! Players demonstrate their skills and know-‐how with others when saving someone’s life. This interacUve online game can be played with your friends by simply inviUng them to parUcipate and join your game network. It also has the ability to interface with Twider, Facebook and LinkedIn in an effort to invite friends and colleagues to join your game network. What makes this game unique is that you and your friends parUcipate in saving a life. It is an interesUng journey for the paUent as each player will provide disUnct and unique care to the paUent to ensure a speedy recovery. We know all healthcare providers jump at the opportunity to join in and help during a trauma, this game would mimic the same adrenalin fix. By alerts, via the game, email or texts the players can join in and select their friends whom they wish to assist in the heroic life saving adventure TraumaRamaPalooza. Q: What does the game look like? A: Once the app is downloaded the game will prompt the player to design their virtual space. IniUally a player determines their look and designs their working space to include their department surroundings. Each player you invite has the opportunity to add to your workspace and soon the workspace becomes a collaboraUve working area just like a specific department in the hospital equipped with all the needed supplies and equipment to ensure the paUent is well cared for. Q: What learning objec7ves does the game address? A: The players will demonstrate a collaboraUve venue designed for them to integrate knowledge and fun while implemenUng the needed care the paUent needs for their specific injury. Q: How does the game meet the objec7ves and the learning needs? A: Through the use of role-‐play each player chooses their role based on their comfort level, which is to play within their specialty (Pharmacy, Anesthesia, ER, OR, Pediatrics, Med/Surg, Respiratory, Healthcare in general, Surgery, Neuro, Ortho, ENT, OB/GYN etc) therefore demonstraUng their interacUon within the game based on their experUse in the specific subject mader or specializaUon.


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Market Analysis: I began the environmental scan back in 2009 when I was idenUfying how to develop a training module for a review course at my former job when I worked for a nursing associaUon. I wanted to design a creaUve tool to assist nurses in reviewing content to sit for a cerUficaUon exam in perioperaUve nursing. My findings included the following: •  Very few games exists for healthcare providers related to healthcare or nursing. •  Most popular game in the United States related to healthcare was OperaUon •  Very few games exist that are healthcare related however, none were interacUve,

collaboraUve or online. •  Most healthcare games were Jeopardy-‐like or game show in nature which only asked

quesUons related to a specific topic. Next, I conducted a needs assessment via Survey Monkey and sent it to nurse colleagues who were in educator roles, associaUon members in an educator role and Clinical Nurse Specialists (CNS’s). Need: Conclusive findings idenUfied that there is a need for games for nurses within their specialUes as well as a need for interacUve games for nurses to learn content. Many suggested a simulaUon training course to address this shortcoming within the specialty of perioperaUve nursing as well as in nursing in general . Why this game? This game would promote learning among friends in a non-‐academic format yet it would enUce the player to idenUfy, select and implement treatment modaliUes essenUal in ensuring safe and effecUve care to the paUent. Audience Profile: IniUally, I had intended the game to be specifically for perioperaUve nurses (operaUng room specialty). Aoer posUng on Facebook regarding the proposed game, my nurse friends provided valid ideas and insight. Opening up the game as a downloadable app via a smartphone or tablet to all healthcare professionals, as paUents do not rely solely on one parUcular nursing specialty but rather an all encompassing team of healthcare professionals was the beder choice to ensure parUcipaUon, interacUon, collaboraUon and experUse. Distribu7on: Once the game launches, e-‐postcards and invitaUons will be sent out via Facebook, Twider and LinkedIn contacts, a Facebook Page will be created and encourage followers via Twider. AddiUonally, once interest builds the game will grow and prosper. Once the players discover the “fun factor” of the game this too will increase the number of downloads.


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Detailed Game Descrip7ons: The Core Idea: TraumaRamaPalooza is an interacUve collaboraUve online game for healthcare providers to create a virtual healthcare se4ng among friends and colleagues to save a paUent aoer a traumaUc injury. Once you download the game, you determine your network of friends to help you save the paUent. You soon find out that it is important to invite a vast group with diverse healthcare backgrounds to assist you. Each player will take on a specific role and carry out the duUes associated with the role to ensure the paUent is treated and cared for. Each player determines what is needed to care for the specific injury. Through collaboraUve play, players in the game network add insight to what addiUonal care is needed to advance to the next level of care or next provider involved in caring for the paUent in the virtual environment. Background Story: The player designs their “look” based on their role, selects their specific uniform as well as the design details of their virtual environment specific to their pracUce se4ng. The virtual environment is designed by the player with the necessary equipment and supplies to carry out the specific treatment necessary. Once this is done, the game begins by alerUng the players via a text message regarding an injured trauma paUent. Text messages are also sent when friends and colleagues add content to your virtual environment, when they assist you in addiUonal treatments to the paUent and when the paUent is in trouble and you ask for help. Prompts are provided to the players as to the current condiUon of the paUent, if the player does not manage the paUent correctly, they are fired or replaced by the next player involved in the care of the paUent unless they seek friendly advice and assistance. As the paUent moves from one area to the next, the next group of designated players take on the care of the paUent. For example, suppose the paUent arrives via ambulance and he is immediately to go for x-‐rays, those players who assumed the role of x-‐ray staff will be alerted to conduct the process of taking x-‐rays for the paUent, once done, they transport back to the ER for further evaluaUon and the process conUnues among friends and colleagues. From arriving in an ambulance through discharge from the hospital all players take on the tasks of making sure the paUent is well cared and managed with the goal of a complete and safe recovery with the assistance of friends and colleagues.


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Detailed Game Descriptions: Game Objec7ve: How do you win? The game is designed to ensure the paUent walks Out of the hospital without any problems. The paUent will display a happy face and walk out of the hospital where he or she will be greeted by friends and family, that is a win! Once the paUent leaves and all is good the process starts again, via a text message to alert the players a new paUent has arrived. Game World: This game is to be played online via a downloadable app to a smartphone or tablet. Game Play Steps:

1.  Download the app to your device 2.  The game will prompt the player to determine your role through a series of quesUons

to determine the right fit. 3.  Once a role is established the player will design their look and select their appropriate

uniform 4.  The player then designs the virtual space or environment based on the specified area

or department 5.  Invite your friends and colleagues-‐the more the beder and in all areas of healthcare 6.  The player will select the method in which you wish to invite friends and colleagues

such as the Facebook, Twider and LinkedIn interface. 7.  Once items 1-‐6 are complete the game will alert you via text message that an

ambulance has just pulled into the emergency room with a specific type of injured paUent. You can chose to ignore, pass or launch the game to parUcipate.

8.  Your game network will be alerted that you iniUated treatment, at this point, those in your game network and in the similar role, will add to what you have done in your virtual space/environment and the care you have provided. Once all tasks are completed the game will ask you to “invite” the next specialty group that is needed for the next phase of care.

9.  As the next group arrives on the scene, they will be prompted to provide the necessary treatment to assist the paUent in ge4ng beder.

10. Once all players parUcipate and collaborate in the true essence of a trauma, the paUent gets beder and progresses in his or her recovery thus facilitaUng the paUent to eventually leave the hospital and walk out the door where safe and effecUve care was provided.

11. There are no points or scores to keep as the goal is to save a life. Each move a player makes will either capture a correct treatment or prolong the injury of the paUent. As correct treatments are performed the paUent progresses to ulUmately ge4ng beder.


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Detailed Game Descriptions: Set Up: This game is to be played online via a downloadable app to a smartphone or tablet. The set-‐up is simple once downloaded. The game provides prompts to ensure the iniUal set-‐up for the game goes smoothly. Requirements for the game would include a smartphone or tablet. As this is an interacUve game, inviUng friends is essenUal for the game to take full form to collaborate with your friends and colleagues to save the paUent’s life. Also, you must have your device capable of accepUng text messages or alerts to iniUate the game as well as parUcipate in the game with friends and colleagues. Rules and Mechanics: Must be played with friends or colleagues that the player invites to play via an email or e-‐vite request. There is the opUon to interface with Facebook, LinkedIn or Twider followers who will then become part of your “game network”. AddiUonal components of the game includes:

1.  Sound: Upon starUng a game aoer the player is alerted that a paUent is arriving, sirens will alarm and an ambulance will arrive. AcUve sounds of an EKG machine will be noted as well as a designaUon cardiac rhythm will be displayed.

2.  ConUnuous sounds will be heard based on the progression of the paUent’s care and needed intervenUons.

3.  Graphics: Thoughqul graphics depicUng the movement of every character or player will be evident throughout the game. The player can posiUon themself throughout the virtual environment, they will be able to move themselves, items as well as the paUent.

4.  Rich graphics depicUng all supplies, equipment and staff will be available through a dropdown menu where the player can select friends to assist in the game from the game network, items to gather and essenUal equipment to facilitate the care to be provided.

5.  Rules and Mechanics images will be idenUfied in this document’s appendix. Winning: Through interacUve collaboraUon and progression through the hospital and selected department the paUent will get beder. In order to win, the paUent must recover and be able to walk out of the hospital happy to join their family and friends who are waiUng for him or her once the paUent leaves. Assessing Outcomes: The players will demonstrate a collaboraUve venue designed for them to integrate knowledge and fun while implemenUng the needed care the paUent needs for their specific injury. By demonstraUng their interacUon within the game via role-‐playing this promotes subject mader experUse and know-‐how.

Prototype and Playtest to be completed by May 8, 2012

Copyright ©2012 ConfidenUal M. Tapia 4/21/12 11

Appedix A: Game Play Steps


Game Play Steps

•  Game Play Steps: 1.  Download the app to your device 2.  The game will prompt the player to determine your role through a series of quesUons

to determine the right fit. 3.  Once a role is established the player will design their look and select their

appropriate uniform 4.  The player then designs the virtual space or environment based on the specified area

or department 5.  Invite your friends and colleagues-‐the more the beder and in all areas of healthcare 6.  The player will select the method in which you wish to invite friends and colleagues

such as the Facebook, Twider and LinkedIn interface. 7.  Once items 1-‐6 are complete the game will alert you via text message that an

ambulance has just pulled into the emergency room with a specific type of injured paUent. You can chose to ignore, pass or launch the game to parUcipate.

8.  Your game network will be alerted that you iniUated treatment, at this point, those in your game network and in the similar role, will add to what you have done in your virtual space/environment and the care you have provided. Once all tasks are completed the game will ask you to “invite” the next specialty group that is needed for the next phase of care.

9.  As the next group arrives on the scene, they will be prompted to provide the necessary treatment to assist the paUent in ge4ng beder.

10. Once all players parUcipate and collaborate in the true essence of a trauma, the paUent gets beder and progresses in his or her recovery thus facilitaUng the paUent to eventually leave the hospital and walk out the door where safe and effecUve care was provided.

11.  If the player does not manage the paUent correctly, they are fired or replaced by the next player involved in the care of the paUent unless they seek friendly advice and assistance. This allows the player the opportunity to ask for help, which resembles the acUons taken during a trauma to avert an addiUonal crisis.


Download the app to your device

•  Set up is simple once you download the app from the App Store onto your device:


Individualizing your game to your role

The game will prompt the player to determine his or her role through a series of quesUons to determine the right character and role they will play



The player designs their “look” based on their role, selects their specific uniform as well as the design details of their virtual environment specific to their prac7ce seZng.

What it looks like

Once a role is established the player will design their look and select their appropriate uniform to provide the necessary treatments and appropriate care

Dropdown Menus


The virtual environment is designed by the player with the necessary equipment and supplies to carry out the specific treatment necessary. This is done through the use of drop down menus which allow the player to individualize their playing field AddiUonal sets of icons and drop down menus will be available and will include: Furniture and décor People, families and paUents Equipment Supplies Hospital beds

Social Media Interface


The player can also select the method in which they wish to invite friends as well as sharing plays through social media posUngs and interfacing their latest moves to Facebook, Twider and LinkedIn.

How you are noUfied Once you sign up, create your character and individualize your playing field, the game begins by alerUng the players via a text message or email regarding an injured trauma paUent. Depending on how you chose to be noUfied, you can individualize this in the preferences menu


Thanks for signing up!

I want to start playing

Okay I have selected my role, uniform, character and individualized my playing field.

The ambulance just arrived with a new pa7ent

I’ll invite friends J

E-‐mail

The ambulance has arrived. Invite friends to help!

Or

Game dynamics

If you want to be alerted every 7me someone plays, text messages can be sent when friends and colleagues add content to your virtual environment, when they assist you in addi7onal treatments to the pa7ent and when the pa7ent is in trouble and you ask for help. Your game network will be alerted that you ini7ated treatment, at this point, those in your game network and in the similar role, will add to what you have done in your virtual space/environment and the care you have provided. Once all tasks are completed the game will ask you to “invite” the next specialty group that is needed for the next phase of care.

Copyright ©2012 ConfidenUal

M. Tapia 4/21/12 20

Thanks for the invite!

Dr. Joe requests help

Marisa RN just prepared the surgical suite for Mr. Jones who has a broken pelvis as a result of a car accident

Ray just transferred the pa7ent to PACU Need Kelly to assist send no7fica7on

KrisUe added supplies

Moving the game along


Your game network will be alerted that you ini7ated treatment, at this point, those in your game network and in the similar role, will add to what you have done in your virtual space/environment and the care you have provided. Once all tasks are completed the game will ask you to “invite” the next specialty group that is needed for the next phase of care.

Who’s Turn is it?


As the next group of healthcare providers arrive on the scene, they will be prompted to provide the necessary treatment to assist the pa7ent in geZng beaer.

Through detailed graphics via a dropdown menu players determine what treatment they need to provide or simply request help from a colleague


In the true essence of a trauma, all players par7cipate and collaborate, the pa7ent gets beaer and progresses in his or her recovery. This par7cipa7on is the fun factor and facilitates the “save a life with friends” moao, in which the pa7ent eventually leaves the hospital and walks out the door and the players know that they were instrumental in saving a life!


From the scene of the accident to…

To recap… the game starts with a text message or email. The player can launch the app and hear the sirens know they are needed to save a life.

...the method of transporUng the injured


Once the game starts and the players start playing the scenarios move the game forward and prompt the players to assist. Duing the game dropdown menus will pop up to select treatments and care.


And they move from ER to….


Life saving surgery…


But

These criUcal departments and their support

X-‐ray/MRI/CT Respiratory CasUng and SplinUng AmbulaUon devices and Physical Therapy Pharmacy Lab


Departments


Recovery Room

Orthopedics

Full Recovery



Download Now

And start…

Saving a life



While Playing with Friends


Coming Soon the App Store

Documents

Game Design Project